지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 255 - 263 (9page)
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초록· 키워드
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Purpose: The purpose of this study was to evaluate the relative utility and benefits of free-hand 2-dimensional intraoperative ultrasound (FUS) and navigated 3-dimensional intraoperative ultrasound (NUS) as ultrasound-guided biopsy (USGB) techniques for supratentorial lesions. Methods: All patients who underwent USGB for suspected supratentorial tumours from January 2008 to December 2017 were retrospectively analyzed. The charts and electronic medical records of these patients were studied. Demographic, surgical, and pathological variables were collected and analyzed. The study group consisted of patients who underwent either FUS or NUS for biopsy. Results: A total of 125 patients (112 adults and 13 children) underwent USGB during the study period (89 FUS and 36 NUS). NUS was used more often for deep-seated lesions (58% vs. 18% for FUS, P<0.001). The mean operating time for NUS was longer than for FUS (156 minutes vs. 124 minutes, P=0.001). Representative yield was found in 97.7% of biopsies using FUS and in 100% of biopsies using NUS (diagnostic yield, 93.6% and 91.3%, respectively). The majority of lesions (89%) were high-grade gliomas or lymphomas. Postoperative complications were more common in the NUS group (8.3% vs. 1.2%), but were related to the tumour location (deep). Conclusion: Despite the longer operating time and higher rate of postoperative complications, NUS has the benefit of being suitable for biopsies of deep-seated supratentorial lesions, while FUS remains valuable for superficial lesions.
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참고문헌 (25)
참고문헌 신청
Apuzzo ML / 1987 / Computed imaging stereotaxy: experience and perspective related to 500 procedures applied to brain masses / Neurosurgery 20:930~937
Moiyadi AV / 2016 / Intraoperative ultrasound technology in neuro-oncology practice: current role and future applications / World Neurosurg 93:81~93
Moringlane JR / 1995 / Real-time ultrasound imaging of cerebral lesions during "target point" stereotactic procedures through a burr hole. Technical note / Acta Neurochir (Wien) 132:134~137
Walter U / 2008 / Contemporary ultrasound systems allow high-resolution transcranial imaging of small echogenic deep intracranial structures similarly as MRI: a phantom study / Neuroimage 40:551~558
Allouch H / 2014 / Real-time ultrasound monitoring during intracranial needle biopsies: operative results and detection of complications in 100cases / World Neurosurg 82:202~206
Moiyadi AV / 2016 / Intraoperative ultrasound technology in neuro-oncology practice: current role and future applications / World Neurosurg 93:81~93
Moringlane JR / 1995 / Real-time ultrasound imaging of cerebral lesions during "target point" stereotactic procedures through a burr hole. Technical note / Acta Neurochir (Wien) 132:134~137
Walter U / 2008 / Contemporary ultrasound systems allow high-resolution transcranial imaging of small echogenic deep intracranial structures similarly as MRI: a phantom study / Neuroimage 40:551~558
Allouch H / 2014 / Real-time ultrasound monitoring during intracranial needle biopsies: operative results and detection of complications in 100cases / World Neurosurg 82:202~206
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